Write the problem, etiology, signs and symptoms for the following scenarios: A 5
ID: 122685 • Letter: W
Question
Write the problem, etiology, signs and symptoms for the following scenarios: A 50 yo female is referred to you with a new diagnosis of diabetes.
She c/o extreme thirst, hunger, and frequent urination. Her FSBS at the doctor’s office was 207. She is 64” and weighs 180#. She reports a recent weight loss of 15# over the last two months. Within the first five minutes of her visit with you, she states “I don’t care about any of this, I’d rather die than not be able to eat the things I want”.
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Explanation / Answer
A. Problem:
Unexplained weight loss is the term used to describe a decrease in body weight that occurs without trying through dieting or exercising unintentionally and it can be a warning sign of diabetes. Losing or gaining a few pounds here and there is normal, but unexplained weight loss that is significant (10 lbs/4.5kg or more or over 5% of your body weight) or persistent may signal an underlying medical condition.
According to the given conditions she is suffering from diabetes and also she had a psychological problem called Bulimia Nervosa (eating disorder) because in this she states “I don’t care about any of this, I’d rather die than not be able to eat the things I want”, so due to her eating behavior diabetes was affected. But she did not take any prescription and finally it leads to weight loss.
B. Etiology:
Insulin helps balance out blood sugar levels and keeps them in a normal range. As blood sugar levels rise, the pancreas secretes more insulin and it decrease the elevated blood glucose levels. The people with diabetes, insufficient insulin prevents the body from getting glucose from the blood into the body's cells to use as energy. When this occurs, the body starts burning fat and muscle for energy, causing a reduction in overall body weight. Unexpected weight loss is often noticed in people prior to a diagnosis of Type 1 diabetes but it may also affect people with Type 2 diabetes.
Type 1 diabetes occurs when your immune system, the body’s system for fighting infection, attacks and destroys the insulin producing beta cells of the pancreas.
Type 2 diabetes is the most common form of diabetes and it is caused by several factors, including lifestyle factors like overweight, obesity, and physical inactivity. Insulin resistance is common in people with type 2 diabetes.
Normal persons (non-diabetic) glucose levels in blood are nearly demonstrated between 3.9 and 5.5 mmol/L (70 to 100 mg/dL).
C. Signs and symptoms:
Symptoms of type 1 diabetes can start quickly, in a matter of weeks. Symptoms of type 2 diabetes often develop slowly over the course of several years and can be so mild that you might not even notice them. Many people with type 2 diabetes have no symptoms.
Symptoms of diabetes include:
Increased thirst and urination
Blurred vision
Numbness or tingling in the feet or hands
Sores that do not heal
Increased hunger
Fatigue
Unexplained weight loss
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